About the Facility
- CMS Certification Number (CCN)
- 113029
- Ownership Type
- Non-profit
- CMS Region
- Atlanta
- Certification Date
- Address
3351 Northside Drive
- Phone Number
- (478) 471-6500
Facility Medical Condition Statistics
- All other conditions
- 210
- Brain disease or condition (non-traumatic)
- 50
- Brain injury (traumatic)
- 64
- Hip or femur fracture
- 114
- Hip or knee replacement, amputation or other bone or joint condition
- 129
- Nervous system disorder (excluding stroke)
- 51
- Spinal cord disease or condition (non-traumatic)
- 65
- Spinal cord injury (traumatic)
- 14
- Stroke
- 141
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.627
- SIR 95% confidence interval - upper limit
- 4.760
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,145
- Predicted number of infections (B)
- 2.027
- Number of infections reported (A)
- 4
- SIR (A/B)
- 1.973
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 833
- Denominator
- 833
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.6
- Denominator
- 697
- Average observed change score
- 12.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.1
- Denominator
- 697
- Average observed change score
- 30.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 342
- Denominator
- 697
- Facility rate
- 49.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 342
- Denominator
- 697
- Facility rate
- 49.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 833
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.048
- SIR 95% confidence interval - upper limit
- 0.940
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 16,455
- Predicted number of infections (B)
- 7.030
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.285
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 341
- Number of health care workers
- 347
- Rate of flu vaccination
- 98.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 72
- Number of eligible stays
- 860
- Unadjusted potentially preventable readmission rate
- 8.37
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.73
- Lower limit of the 95% confidence interval on the RSRR
- 7.31
- Upper limit of the 95% confidence interval on the RSRR
- 10.30
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 51
- Number of eligible stays
- 962
- Unadjusted potentially preventable readmission rate
- 5.30
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.33
- Lower limit of the 95% confidence interval on the RSRR
- 4.26
- Upper limit of the 95% confidence interval on the RSRR
- 6.81
- Comparative performance category
- No Different than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 533
- Number of eligible stays
- 789
- Observed discharge to community rate
- 67.55
- Risk-standardized discharge to community rate
- 68.22
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.20
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.13
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 840
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 819
- Denominator
- 833
- Facility rate
- 98.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 23
- Denominator
- 832
- Facility observed rate
- 2.8
- Facility risk-adjusted rate
- 2.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 294
- Number of health care workers
- 296
- Rate of COVID-19 vaccination
- 99.3